PGRAMS -:- Grievance Redress Form

GRIEVANCE REDRESS FORM

Please Enter Personal Details (You should fill-up the entries prefixed with * )

*Name
*Sex	MaleFemaleOthers (If not an individual)
Password

(If you wish to have an authorisation check for accessing status details.)

Confirm Password

(Re-enter your Password for confirmation.)

Please complete the following entries before submitting the Grievance Form.

Your Letter No. (if any)
Letter Date (in DD/MM/YYYY Format)
Document Id

(Quote the Reference number for your supporting documents)

Office Issued

(Quote the office that issued the above documents)

Date Since Pending(as DD/MM/YYYY)
Have you exhausted the normal administrative channels of the Department ?	YesNo
If yes, Date and the authority approached ?
What was the Response ?	No Response Claim Rejected
Is it subjudice ?	YesNo
Select Sector

(Select the Sector to which your grievance pertains to)

*Please enter Grievance Description upto 4000 characters